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WALMART PHARMACY 10-5102
CH062376M JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
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Covered Entity Details
Entity Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
Lincoln Elementary School for the Arts
Type
HRSA-Funded Health Center
340B ID
CH062376M
Entity Address
1429 Ames Blvd
Marrero, LA 70072-2867
Grant Number
H80CS06716
Participating Start Date
4/1/2024
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5102
Pharmacy Address
99 WESTBANK EXPY
GRETNA, LA 70053
Pharmacy Comments
Contract Details
Approval Date
1/18/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shondra Williams, CEO
(504) 762-8931
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/15/2024
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